NELLIE KONNIKOV MD – NPI #1376646638
Dermatology

Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).

NELLIE KONNIKOV is a dermatologist located in BOSTON, MA. NPPES has assigned the NPI number 1376646638 to NELLIE KONNIKOV on September 05, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207NS0135X from the Health Care Provider Taxonomy code set, which is classified as Dermatology, specializing in Procedural Dermatology

The NPI profile was previously updated about 4 years ago on Jul 21, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NELLIE KONNIKOV below.

NPI Profile for
NELLIE KONNIKOV

NPI Number
1376646638
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
NELLIE KONNIKOV
Credentials
MD
Primary location
150 S HUNGTINGTON AVE
BOSTON, MA 02130
Phone: (857) 364-4757 Fax: (857) 364-6604
Mailing address
150 S HUNGTINGTON ST
BOSTON, MA 02130
Phone: (857) 364-4757 Fax: (857) 364-6604
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207NS0135X
- Dermatology / Procedural Dermatology (Primary)
MA 50447
207N00000X
- Dermatology
MA

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

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